scholarly journals Problem Based Learning: Aspects and Perspectives of Students of a Medical College of Kathmandu Valley, Nepal

Author(s):  
Gaurab Mainali ◽  
Pinky Jha ◽  
Pearlbiga Karki ◽  
Manoj Khadka ◽  
Prabesh Karki ◽  
...  

Abstract Background: Problem-based learning focuses on self-directed learning through problem-based approaches. This study was conducted to know the perspectives of medical students towards problem-based learning, along with its advantages and disadvantages, the role of facilitators and participants, and the scenario of problem-based learning in Tribhuvan University (TU) based medical colleges. Methods: This descriptive cross-sectional study was conducted among the first to third-year medical students at Nepalese Army Institute of Health Sciences, Kathmandu via a self-administered questionnaire. Convenience sampling method was used. The collected data was extracted to Microsoft Excel-13 and analyzed with a statistical package for social sciences (SPSS) version-22.Results: Out of 234 study participants, the majority found problem-based learning course interesting and informative (97.5%). More than three-fourths of respondents study more regularly in problem-based learning than lectures (82.5%) and understood applied aspects of course better than that taught via lectures because of problem-based learning (80.8%). Conclusions: The majority of the study participants have found problem-based learning fruitful than traditional lecture learning. Since problem-based learning integrates the basic and clinical knowledge and enhances collaborative learning skills, we strongly recommend frequent problem-based learning sessions in the medical schools of Nepal.

2020 ◽  
Vol 19 (1) ◽  
pp. 38-42
Author(s):  
Maliha Ata ◽  
Rozina Hoque ◽  
Asma Mostafa ◽  
Happy Rani Barua

Background: The medical college library plays an important role in enhancing theacademic achievements of medical students. In order to improve the quality oflibrary services this study provided an assessment of the impact of the libraryservices on undergraduate medical student learning behavior. Materials and methods: This was a cross-sectional descriptive type of study. Thestudy used a self-designed questionnaire. The study sample was 200 undergraduatemedical students. The questionnaire was administered to them at the end of theirlecture class. Results: The primary reason for going to the library was self study (68%) refer text(37%) and group study (36%). Only 38.55% of the respondents visited the library ona daily basis, 50.5% students visit library when necessary and 10.5% student uselibrary 2-3 times a week. All students (100%) are aware about availability of textbooks in the library. 60.5% students know that journals are available in their library,52% know about dictionaries, 56.55% know of having internet, 62.5% students knowthat computers are available in library. 46.5% students said that their internet ofinstitutional library is somewhat helpful. Noise (67.5%), insufficient space (66%),lack of interent access (46%) and lack of computers(44.5%) might have negativeinfluence on the students in library visit. Conclusion :The study suggested that fulfillment of more needs to be done topromote self directed learning. The usage of library, its resources and services needto be increased. Chatt Maa Shi Hosp Med Coll J; Vol.19 (1); January 2020; Page 38-42


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253808
Author(s):  
Dhan Bahadur Shrestha ◽  
Nagendra Katuwal ◽  
Ayush Tamang ◽  
Agrima Paudel ◽  
Anu Gautam ◽  
...  

Background Medical students are more prone to burnout than the general population and students of other faculties due to the demanding nature of medical education with limited time and resources. Burnout has a negative impact on the academics and personal life of the students which can continue into their professional life and ultimately hamper patient care. The purpose of this study is to determine the prevalence of burnout among medical students of a medical college and find its association with age, gender, and year of study. Materials and methods This cross-sectional study was conducted among medical students of a medical college in Kathmandu, Nepal from 14 January to 7 March, 2021. Stratified sampling followed by a simple random sampling technique was employed to select study participants. Data was collected through a self-administered questionnaire using the English version of the Oldenburg Burnout Inventory adapted for students (OLBI-S) and analyzed in STATA version 15. Results The prevalence of burnout was found out to be 65.9% (n = 229). And of the remaining, 12.7% were exhausted, 11.4% were disengaged and 10.0% were neither exhausted nor disengaged. Burnout had no significant association with age in years, gender, and year of study. Conclusions This study shows an alarming prevalence of burnout in almost two-thirds of medical students. These results indicate the necessity of employing effective strategies by relevant authorities for the mental well-being of future physicians. Further multicenter prospective studies are required for a better understanding of the prevalence and associated factors of burnout.


Author(s):  
Kevin A. John ◽  
Poonam R. Naik

Background: Medical students have been reported to suffer from higher perceived stress compared to general population and students in the other academic fields. The objective of the study was to estimate the prevalence of stress and to identify the potential stressors among undergraduate medical students using perceived stress scale (PSS).Methods: A cross sectional study was conducted among 301 undergraduate medical students at a private medical college in Dakshina Kannada district, Karnataka. The extent of the stress was assessed using PSS-10 and a questionnaire was used to identify the potential academic, psychosocial and environmental stressors.Results: The mean PSS score was found to be 26.34±3 in this study. Moderate stress was observed in 68% of the study participants. The PSS score was higher among the 2nd year MBBS students. Stress was observed more among female medical students (74%). Inadequate study leave (92.4%), vastness of academic curriculum (84.1%), poor quality of food in mess or home (70.4%), accommodation away from home (60.1%) and high parental expectations (48.5%) were found to be the potential stressors in this study.Conclusions: The study results thereby highlight the need to plan tailored interventions to address the various stressors and prevent stress among the medical students. 


Author(s):  
Diwakar Thiagarajan ◽  
Vichithra Mohandoss ◽  
M. Benjamin Sagayaraj

Background: Immunization being the most cost-effective treatment for preventing disease and extending life, is essential to know about its schedule and be aware of vaccines that are available up to date.  Immunization is one of the most important strategies for protecting children from disease. Aim: The aim of the study is to assess the knowledge and attitude of immunization among medical students recommended by Government of India (NIS) and Indian Academy of Paediatrics (IAP). Methodology: A descriptive cross-sectional study was conducted in Saveetha Medical College and Hospital, Chennai among final year MBBS students, Medical Interns using a structured questionnaire. The study was conducted between February 2021 & April 2021. Results: In a total of 259 study participants, around78(65%) of Medical Interns and 74(52%) of final year MBBS students are aware that as per NIS, BCG vaccine in catch up can be given until 1 year of age. Conclusion: The degree of knowledge among medical students should be emphasised and various initiatives regarding the knowledge and awareness about immunization among the interns and the medical students should be introduced.


Author(s):  
Irwan Batubara ◽  
Djaswadi Dasuki ◽  
Mubasysyir Hasanbasri

Lulusan pendidikan bidan yang ditempatkan di fasilitas kesehatan dan desa belum memberikan konstribusi efektif  terahadap percepatan penurunan angka kematian ibu dan angka kematian  bayi. Pendidikan D III kebidanan dengan kurikulum berbasis  kompetensi berupaya melakukan perubahan sistem pembelajaran konvensional menuju pembelajaran berbasis masalah (problem-based learning). Salah satu ciri problem-based learning (PBL) self-directed learning, diintegrasikan dalam diskusi kelompok, diaplikasikan di laboratorium dan praktek klinik pada objek nyata mewujudkan sikap profesi bidan mandiri yang mampu memberi pelayanan dalam siklus kehidupan wanita berdasarkan bukti. Untuk mengetahui hubungan kegiatan pembelajaran yang diterapkan dosen/tutor di kelas, laboratorium, praktek klinik dan kelengkapan alat-bahan pembelajaran dengan kepuasan mahasiswa dalam asuhan kebidanan diagnosa kehamilan di Program Studi Kebidanan Padangsidimpuan. Penelitian ini menggunakan metode kuantitatif dan kualitatif dengan pendekatan cross-sectional  study. Populasi mahasiswa tingkat II reguler Program Studi Kebidanan Padangsidimpuan berjumlah 50 orang ditambah 3 orang fasilitator, seluruhnya dijadikan subjek penelitian (purposive sampling). Analisis data menggunakan chi-square, regresi logistik dengan pemodelan dan analisa kualitatif. Hubungan kegiatan pembelajaran yang diterapkan dosen/tutor dengan kepuasan mahasiswa dalam pembelajaran asuhan kebidanan diagnosa kehamilan bermakna dengan nilai  p= 0,0001; RP sebesar 9,5 (CI95%=3,75-24.01) menjelaskan kegiatan pembelajaran  memiliki risiko 9,5 kali  mempengaruhi kepuasan mahasiswa dalam pembelajaran asuhan kebidanan diagnosa kehamilan. Kegiatan pembelajaran sesuai kriteria seven jump signifikan meningkan kepuasan mahasiswa dalam pembelajaran asuhan kebidanan diagnosa kehamilan.


Author(s):  
Yachana Choudhary ◽  
Manju Dubey ◽  
Manju Toppo ◽  
D. K. Pal

Background: India is facing critical problem of paucity of certified physicians in rural areas, although majority of the population resides in rural areas. According to rural health statistics report 2015, there is a deficit of 659 doctors in rural areas. The study was done with the objective to capture the perception among medical students (interns / postgraduates) about their preference of work place after graduation/post-graduation and to know the factors responsible for preference / non-preference.Methods: A cross sectional study was carried out, among 203 medical students in a government medical college of Bhopal (M.P) from January to March 2016. A semi-structured questionnaire was used to obtain information regarding their preference to serve in rural areas and reasons associated with their choices. The data was entered in MS excel and analysis was performed using Epi-Info7.Results: The study participants included 203 medical students, only 33 (16.26%), were willing to work in rural area. The major reasons for non-preference of rural area were lack of primary facilities like equipments, paramedical staff, non favorable working conditions. Majority of them responded that good salary, better lifestyle and security for doctors especially for females would make them work there.Conclusions: Very less proportion of study participants preferred rural area as their preferred work place. Our study has shown a need for intervention to overcome these perceptions and attitudes of the students towards practice in rural area in order to reverse this disparity.


2020 ◽  
Vol 10 (1) ◽  
pp. 27-30
Author(s):  
Indu Singh ◽  
Binita Paudel

Background: Self-directed learning is a type of instructional strategy where students take charge of their learning process. Self-directed learning is learning approach where learners are responsible towards learning which helps students think critically and perform task confidently. The skills that are learned through self-directed learning remain lifelong and helps to provide patient care in effective way and uplifting the nursing profession. This study was conducted to identify the readiness for self-directed learning among nursing students in Chitwan Medical College. Methods: A descriptive cross-sectional study design was adopted. Sample size was 107 nursing students from Bachelor in science of nursing and Bachelor in nursing science program. They were selected by using probability, stratified, simple random technique. A standardized tool (Self Directed Learning Readiness Scale) was used to collect data. Data were analyzed by using descriptive statistics and inferential statistics. Results: More than two-third of the nursing students were ready for self-directed learning. The mean score of self control was higher than the mean score of self-management and mean score of desire. The level of the readiness for self-directed learning was significantly associated with age (p=0.036), ethnicity (0.036) and most prefer resource (p=0.010). Conclusions: Self-directed learning helps for self control towards their learning and enable students move forward towards their career goal. So, the faculties need to focus on the selection resources for learning that help to create desire for learning and promote self-directed learning skills among nursing students.


Author(s):  
Gaurav Kamboj ◽  
Nilika . ◽  
Sweta Bhartiya

Background: It is important to identify the prevalence and risk factors of psychological distress among medical students which not only affect their health but also the academic achievements at different points of time in their study period. In addition, the patient care is affected by psychological distress among physicians such as poor communication, diminished quality of care and medical errors have been found associated with physical stress.Methods: The present study was a descriptive type of cross-sectional study, which was conducted in a government medical college located in rural Haryana, India from June to July 2018 among 200 MBBS students after adopting inclusion and exclusion criteria. A pre-validated, pre-designed structured depression, anxiety and stress scale-21 items (DASS-21) (annexure 2) was used for obtaining information from the study subjects. The total score of the study subjects was computed and thereafter graded for levels of stress, anxiety and depression.Results: The response rate was 94.5%. The mean score for DASS 21 scale was found to be 16.13 (±11.27). Out of the total, 61.4% students are suffering from different levels of depression. About two-third of the study participants (69.8%) were suffering from different levels of anxiety. The prevalence of stress was about 46.6% in the study subjects.Conclusions: The study confirmed the general impression that there is considerable amount of stress, anxiety and depression in medical students.


Author(s):  
K. V. Phani Madhavi ◽  
B. Devi Madhavi

Background: Self-directed learning (SDL) has been identified as an important skill for medical graduates. To meet the challenges in today's healthcare environment, self-directed learning is most essential. Readiness for SDL is the degree to which an individual possesses attitudes and abilities necessary for SDL. The present study was taken to assess the self-directed learning readiness (SDLR) among 4th semester medical students in a tertiary care teaching hospital. The objectives of the study were to assess the self-directed learning readiness among 4th semester undergraduate medical students of Andhra Medical College, Visakhapatnam using SDLR instrument; to find out the association if any between readiness for SDL and students’ demographic characteristics.Methods: A cross-sectional analytical study was conducted among 4th semester undergraduate medical students of Andhra Medical College, Visakhapatnam, Andhra Pradesh in the month of June 2016 to assess the self-directed learning readiness, using Fishers’40–item self-directed learning readiness scale (SDLRS) which contains 3 domains. The student’s response was collected in a 5‑point Likert scale. The readiness for SDL was categorized as high (>150 scores) and low (<150).Results: The mean SDLRS score was 145.17±18.181 with 105 (64%) students scoring <150 indicating low readiness. The mean sores in the 3 domains of self-management (SM), desire for learning (DL), self-control (SC) were 43.81±7.134, 45.88±6.916, and 55.26±8.296 respectively.Conclusions: Self-directed learning readiness appeared to be low among medical students. This study points out the need to address SDL skills among medical students, and need to find ways to build SDL skills among them. 


Author(s):  
Bharat Meharda ◽  
Mahesh Keswani ◽  
Pradeep Kumar Choudhary ◽  
Ankit Mehra

Background: Blood is specialized body fluid in humans that delivers necessary substances such as nutrients and oxygen to the cells and transports metabolic waste products away from that same cells.Methods: The study was conducted among undergraduate medical students of J.LN. Medical College, Ajmer, Rajasthan, India in March 2019. It was a descriptive cross‑sectional study among 1st professional MBBS students.Results: The study participants included age range of 17-20 years. 96 (78.04%) study participants were knows blood group “O” is a universal donor and 94 (76.42%) were know blood group “AB” is universal recipient. majority of study participants 48 (45.28%) not donate due to fear of procedure.Conclusions: Role of health care personnel and medical students of a medical college for blood donation are pivotal.


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